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Computer Stop Order Alert to Prevent Concurrent Prescribing of Trimethoprim/Sulfamethoxazole and Warfarin

Not Applicable
Terminated
Conditions
Prescribers' Drug Orders
Interventions
Drug: Trimethoprim/Sulfamethoxazole and Warfarin
Registration Number
NCT00870298
Lead Sponsor
University of Pennsylvania
Brief Summary

To determine if a computerized stop order will reduce the number of concurrent trimethoprim/sulfamethoxazole and warfarin orders accepted through the inpatient electronic ordering system while a patient is hospitalized.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1971
Inclusion Criteria

All resident physicians and nurse practitioners involved in inpatient care.

Exclusion Criteria

None-

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
computerized alertTrimethoprim/Sulfamethoxazole and WarfarinAn automatic electronic stop of the tmp/sulfa or warfarin order whenever a resident or nurse practitioner places an order for tmp/sulfa with an already active warfarin order, or when ordering both simultaneously
2 Current practiceTrimethoprim/Sulfamethoxazole and WarfarinCurrent practice of the pharmacist recommending cessation of concurrent warfarin and tmp/sulfa orders
Primary Outcome Measures
NameTimeMethod
Reduce concomitant orders for warfarin and tmp/smx7 months
Secondary Outcome Measures
NameTimeMethod
Determine if computerized stop order will increase risk for inadvertent cessation of warfarin7 months
Determine if computerized stop order will increase risk of delay of treatment with tmp/sulfa when determined to be necessary for treatment7 months
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